| NPI | 1205226891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIMA RANSOM Business Manager 714-966-2312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: CA psy22346) |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2015-02-03 |